Credit Application Form - Rhino Distribution

Unit 14
Naas Road Business Park
Muirfield Drive
Dublin 12
D12 AW26

Credit Application Form

Company Name:

Trading Name:

Company Address:

Phone No:

Fax No:

Email:

Vat No:

Date Established:

Company Reg No:

Purchasing Contact:

Accounts Contact:

Trade Ref: 1

Company Name:

Contact No:

Trade Ref: 2

Company Name:

Contact No:

Trade Ref: 3

Company Name:

Contact No:

Trade Ref: 4

Company Name:

Contact No:

Payment Terms Required:

Credit Limit Required:

Authorised Signature Of Applicant:

Printed Name & Position Held:

For Office use only

A/c no:

Rep & Matrix:

Approved By:

In accordance with Government guidelines our offices are now closed (30th March) and will re-open when further instructions are given from the Government. If you have an emergency requirement, please contact your sales rep or email sales@rhinodist.com and we will try our best to help. *We wish you, your families & friends continued health & wellbeing.

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